Table 3.
Treatment patterns during the 12-month post-index period and healthcare resource utilization during the 6-month pre-index and 12-month post-index periods in commercially insured acromegalic individuals, by study cohort
6-month pre-index period | 12-month post-index period | |||||
---|---|---|---|---|---|---|
Medical therapy (N = 169) | Surgical therapy (N = 228) | p value | Medical therapy (N = 169) | Surgical therapy (N = 228) | p value | |
Treatment patterns | ||||||
Tumor resection surgery | NA | NA | NA | 0.0 | 100.0 | NA |
Stereotactic radiosurgery radiotherapy | NA | NA | NA | 3.0 | 4.8 | 0.350 |
Medical therapy | NA | NA | NA | 100.0 | 31.6 | <0.001 |
Somatostatin analogue treatment | ||||||
Lanreotide depot | NA | NA | NA | 10.7 | 11.0 | 0.921 |
Octreotide | NA | NA | NA | 6.5 | 9.2 | 0.328 |
Octreotide LAR | NA | NA | NA | 37.9 | 11.0 | <0.001 |
Growth hormone receptor antagonists | ||||||
Pegvisomant | NA | NA | NA | 16.0 | 5.3 | <0.001 |
Dopamine agonists | ||||||
Bromocriptine | NA | NA | NA | 11.8 | 2.6 | <0.001 |
Cabergoline | NA | NA | NA | 37.3 | 5.7 | <0.001 |
Healthcare resource utilization | ||||||
Hospitalization admissions | 11.2 | 10.1 | 0.711 | 13.6 | 98.3 | <0.001 |
Number of inpatient admissions | 0.2 (0.5) | 0.1 (0.5) | 0.716 | 0.2 (0.7) | 1.2 (0.6) | <0.001 |
Length of stay | 1.1 (5.7) | 0.6 (2.4) | 0.694 | 1.1 (6.0) | 4.0 (3.5) | <0.001 |
Hospital outpatient visits | 59.8 | 68.4 | 0.074 | 81.1 | 94.7 | <0.001 |
Number of visits | 2.2 (4.1) | 2.9 (4.8) | 0.014 | 5.2 (6.9) | 10.2 (10.4) | <0.001 |
Emergency room visits | 12.4 | 18.9 | 0.085 | 20.7 | 29.8 | 0.041 |
Number of visits | 0.1 (0.4) | 0.5 (2.8) | 0.063 | 0.4 (1.3) | 0.8 (3.1) | 0.015 |
Physician office visits | 87.6 | 93.0 | 0.067 | 99.4 | 98.7 | 0.475 |
Number of visits | 6.3 (6.7) | 8.8 (8.7) | <0.001 | 15.0 (13.3) | 21.2 (14.3) | <0.001 |
Specialist office visits | 33.1 | 34.2 | 0.823 | 54.4 | 68.0 | 0.006 |
Endocrinologist | 26.6 | 23.3 | 0.440 | 51.5 | 61.4 | 0.048 |
Neurosurgeon | 7.7 | 15.8 | 0.015 | 7.1 | 20.2 | <0.001 |
Oncologist | 1.2 | 1.8 | 0.645 | 4.1 | 6.6 | 0.294 |
Data are presented as % or mean (standard deviation) unless otherwise indicated
LAR long-acting release, NA not available